Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $61.66 / $61.66	Facility		$53.70	$61.66	$61.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $61.66 / $74.13	Professional		$51.29	$61.66	$74.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Professional		$97.72	$97.72	$97.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $42.66 / $67.61	Professional		$21.38	$42.66	$67.61
United Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $213.80 / $323.59	Facility		$112.20	$213.80	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $72.44 / $93.33	Professional		$58.88	$72.44	$93.33